Welcome to the 2019 Day Camp Registration Form!

Littlestone Summer Music Festival is designed for highly engaged, intermediate musicians in grades 5 - 10, and will take place at West End Middle School in Nashville, TN from July 8 - 19, 2019. It is our hope that this is a straightforward and painless process. Should you have any questions / feedback at any point, feel free to contact us via phone at (615)200-8008.

Registration is a two-step process:

•Please complete the following form in its entirety to register your child(ren) for our 2019 Festival. Upon its completion, you will be directed to the tuition & merchandise page where you can finalize your registration and provide payment.

•We encourage you to pay via check, though we understand that this is not necessarily the most convenient option for everyone. If you choose to provide payment via a credit card, our vendor automatically subjects tuition to an additional transaction fee. Checks may be made out and sent to the following address. Please include your child's name in the memo.

Littlestone Group

ATTN: Brian Biederman

301 Ezell Pike #17282

Nashville, TN 37217

Visit our contact page with any comments, questions, or requests for immediate assistance and someone will be in touch with you within 24 hours.

Student Information

Name of Program Participant *

Name of Program Participant

First Name

Last Name

Student's primary instrument/voice type *

Student's secondary instrument/voice type

What year will your child be entering in the Fall? *

What school does your child currently attend? *

Student's T-Shirt Size (ADULT SIZES) *

T-Shirt color preference *

Blue

Pink

Parent/Guardian Information

Name of Parent/Guardian *

Name of Parent/Guardian

First Name

Last Name

Name of Secondary Parent/Guardian

Name of Secondary Parent/Guardian

First Name

Last Name

Parent/Guardian Contact Email *

Parent/Guardian Phone Number *

Home Address *

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number *

Questionairre

How did you hear about us? *

What is your child's goal this summer? *

(Make friends, meet other musicians, improve their musical abilities)

How many concerts has your child performed in? *

Name of Private Lesson teacher

Name of Private Lesson teacher

If your child does not take private lessons you can skip this question

First Name

Last Name

Have you or will you be registering for our Residential Pre-College Program?

Yes

No

If you are planning on registering for both camps, you are eligible for a Day Camp scholarship of $80. Would you like to take advantage of this scholarship opportunity? *

ONLY for students who are registered for BOTH programs.

Yes

No

I am not registering for pre-college.

Medical & Allergy Information

Does your child have any medical conditions or allergies? *

Please list any medical conditions, allergies, eccentricities, or possibly relevant information relating to the well-being of the program registrant.

Yes, I have read and understand the Policies and Procedures page and I agree to them.

No, I do not agree with the Policies and Procedures and I do not wish for my registration to be processed at this time.

How would you like to provide tuition payment? *

via Check

via Credit Card

via Payment Plan

Are you ready to submit your registration? *

Please review your registration form in its entirety before clicking submit.

Yes, my registration form is 100% accurate and I am ready to submit!

No, I'd like to receive a phone call before finalizing my registration.

By typing or signing my name on this form, I am entering my signature or "electronic signature" (as defined in the Uniform Electronics Act, C.R.S. 24-713-101 ff.), and certifying that I have read, fully understand and accept all terms of this registration. *

Thank you so much for registering! Someone will be in touch within 24 hours to discuss next steps! We look forward to seeing you!!!!